Provider Demographics
NPI:1215654215
Name:NI9 HEALTH GROUP LLC
Entity type:Organization
Organization Name:NI9 HEALTH GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NDIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:IHIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:832-209-1400
Mailing Address - Street 1:920 S MASON RD STE F
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3868
Mailing Address - Country:US
Mailing Address - Phone:832-209-1400
Mailing Address - Fax:832-209-1400
Practice Address - Street 1:920 S MASON RD STE F
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3868
Practice Address - Country:US
Practice Address - Phone:832-209-1400
Practice Address - Fax:832-209-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-21
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy